Abstract

Steroid therapy remains a cornerstone in managing inflammatory pain associated with chronic conditions such as 
rheumatoid arthritis, systemic lupus erythematosus, gout, and psoriatic arthritis. While glucocorticoids provide 
rapid symptomatic relief, their use is often accompanied by significant physical and psychological side effects, 
influencing patient adherence and treatment outcomes. This qualitative review explores patient perspectives on 
steroid therapy, examining lived experiences, beliefs, fears, and coping strategies. Findings highlight the dual 
perception of steroids as both “miracle drugs” and potentially harmful agents, shaped by misinformation, cultural 
beliefs, and prior experiences. Barriers to adherence include fear of adverse effects, inadequate counseling, 
socioeconomic constraints, and reliance on alternative therapies. Effective patient-centered management requires 
comprehensive education, culturally sensitive communication, multidisciplinary care, and structured follow-up 
mechanisms. Integrating patient feedback into clinical decision-making and treatment guidelines can enhance 
adherence, satisfaction, and overall clinical outcomes. Prioritizing patient perspectives fosters shared decision
making, optimizes therapeutic efficacy, and improves quality of life for individuals receiving steroid therapy for 
chronic inflammatory pain.